HomeMy WebLinkAboutseptic info OCT-17-11 i0 :15 PM MARTY'S EXCA�pTING 612657244� P. 01
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Mi�nesota Pollutiun SSTS Aband�nment
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����.,,.iyrttr�laad Nort17 Reporti ri� Form
St,f�a„i,MN ti5155•4194
8ubsurtace SewaBe Trealment Systems (SS'�S) Program)
InStructions
Th�s form is offered tu meet thc abandonment requirements o(Minn. R.7080.2500 and Disclosure Requirements pf Minn. Stat.
§ 115.55,sut�d_6. Future water SUpply Well placement can also be affected by an abandoned SSTS.
The use of ttiis(urm is not mandatory;however the inFormalion on this form must be submitled to the local governtnent unit(LGU)
within 90 da�is eRer the abandonment.This fotm may be completed by a cerlilied SSTS practitioner or by an indivi�.iu�l who has
direct knawl�idga of how the system was abandoned.
Property Information
Dale of abarrdonment. 10-13-2011 Reason for abandonmcnt� New tenka
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Properiy owrier name(s)- Tony Lund,
Properly owner's address; 360 North arme lane �
C�ty� Oro�to MN. 5536+1.. _.. _ State: ___ _ _ 2ip:
Site addrFss(if ditferent): Same ,
City� _ .. State: .._. Z�P' ..;
Complian:te Information
1. All salid9 and liquids removed from all tanks? � Yes ❑ No
Oispos�i:l Siie�
2 All el�ctr�cal devices end devices containing mercury removed? ❑Yes � No '
Disposal Site� Npne
3. All unde�ground sewage tanks crushed end filled with soit or rock material? �Yes ❑ No or '
Removed and disposed off site? �Yes ❑ No
Disposa!Sit�:
4. Conlaminated materials•removed and dispased off sito? ❑Yes �No
Dispctspr Site. None
5. All underpround cavines••crushed and filled with soil or rock material? �Yes ❑No or: �
Remuvc;d and disposed off site? ❑Yes � No
Dispc�sal SitE:
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6. Fuh�re dlscl�arge to system permanently clen(ed? �Yes ❑No
Metl�ud(;)used: Du.g.up an_fill
•Contam/►wte�l macerlals= Distribution medla,sol(oi sand withln three jeet oj the sys�em bottom, dlstr ibution plpe�,qeatextile
/obric/rosfn poperlstraw, tanks, contomlrra(ed soll o�ound IeaAiny tunks, uny sul(tfwl recF+lved sewo$e
(rom a surface/'oilure(7080,2500 subp.3),
"Unde�sruu�nd cov�tles= Cesspools, leachJng p�ts, drywe(ls,seepage pfrs, vault privles,plt pNvles,pump chmm�Prs;
(7080.15Q0 subp. f). Obes not Inc/ude chamber medla, drop boxes,or distrJDutlon boxes. :
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OCT-17-1i 10 : 16 PM MARTYrS EXCAVATIMG b12657244T P. 02
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Map �
Incfude Ic�CC�tion of building sewer, septic tank(s), soil dispersal system,cesspools, seepa8e pits, and ottqer pits. Also
include a p�rmanent reference point(s) and dimenslons.
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Certification
1 hereby cert�ly tl�e syslem wos abAndoned in accordAnce with Minn. R. 7080.2500 and any local r@qui�er►►enls, .
Name(plcas�print): Marty Ziermann. Title: Owner `
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Address: . (185 Rutz Lake Road °
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City: Nayer. ...... . . ......._. _. ...___._.....----—�-- ------......... . ... .......__ State: MN..._..... ....._. ...... Zip: j55360
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,� Phone 832-G57-2548 License#it applicable). 788 i
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� Dale: 10 17;201 t Signature: '
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CERTIFICATE OF INSPECTION
ACCORDING TO MPCA 7080
ORONO BUILDING & ZONING DEPARTMENT
2750 Kelley Parkway
P.O. Box 66
Crystal Bay, MN 55323
This certificate has been issued this 14th day of October 201 l, to certify compliance with
provisions of the Orono Municipal Code and Minnesota Rules Chapter 7080, regulating
installation of individual sewage treatment systems.
Owner: Anthony & Christine Lund Site Address: 360 North Arm Lane
P.I.D.: 06-117-23-24-0012 Permit #: 2011-01147
Installer: Marty's Excavating
Compliance Officer: �'l�
data/forms/blank cert of inspection MPCA 7080
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,�rA�r�:� : CITY of ORONO
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�,� �'�:� "t���:'��,�G Street Address: Mailing Address:
91tE8Hp4: 2150 Keiley Parkway P.O. Box 66
Orono, MN 55356 Crystal Bay, MN 55323-0066
To Current Owner: Address: 3� r�a�� �'"� L`�`'`�
City Ordinance 199 requires that each existing on-site sewage treatment system in Orono be inspected every two years.
The on-site sewage treatment system at the above address has been inspected and appears to fall into the categories checked below.
SYSTEM CONFORMITY (1-3): �
1 "CODE SYSTEM"An ISTS which meets all the location,design and construction standards of the curnnt Orona Municipal Code.
2 "CONIPLIANT SYSTEM" An ISTS which does not meet all the location,design and conswction standards of the curnnt Orono Municipal
Code but does meet the chree foot separation requirement or two foot requirement for systems instalied 1996 or eadier,and which is not failing or
�'-'� an imminent threat to public health or safety.
f 3 /"NON-COMPLIANT SYSTEM" A prohibited ISTS;an iSTS located within a designated 100-year flood plain,any ISTS which may
`� or may not meet all the location,design,or construction standerds of the current Orono Municipal Code and which is failing for any reason;and
any ISTS with less than three feet of unsaturated soil or sa�td between the distribution device and the limiting soil characteristics.
TANK CONDITION(5-71: �
Tank inspection indicates:
5 Pumpout not needed at this time.
�Septic tanks must be pumped out this year (city code requires tanks to be pumped out once every 3 years.
Tank was last pumped �'�1—�f, ).
Make sure septic tanks are aumaed throuQh manhole and not throu¢h white insaection nioes. This allows for the
proner cleanin¢. Keen water softner and iron filter discharge out of septic svstem.
7 Inspection risers missing-tanks could not be inspected. Inspection risers(4"dia.pipe)must be installed in each tank. If
tanks have not been pumped out within the last three years,they should be pumped out now.
D INFIELD CONDITION(8-10): .�
8 Drainfield is dry, no surfacing evident.
9 Some evidence of surfacing, not critical yet.
10 Drainfield is saturated and visibly discharging untreated effluent to the surface. Contact the City Inspector
immediately.Repairs must be completed within 90 days.
COMMENTS: ���;c�;�.�d i5 r�ac� C���1;��'s- ���� r��i�- ��. r����Ccd � y
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Date of Inspection Matt Bolterman - Septic System Inspector
Note: In the event that this inspection repart is used to satisfy the requirements for a mortgage or other transfer of property,be advised that this ropoR does not guarantee
or ceRify that an existing system wiil continue to function properly,but is merely an opinion ofthe adequacy ofthe system under curcent conditions basod on the available
information.
Telephone(952)?A9-4600 • Fax(952)249-4616
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'�' Mailtn�Address:
.�ES�I�g �2750 Keiley Parkway � P.O. Box 66
Orono, MN 55356 Crystai Bay, MN 55323-0066
Owner: �o S 5 �\aw�C",�S.:
- Address: 36� �l. A c n-, �c� .
Ciry Ordinance 199 requires that each existi.ng on-site setivaoe�eatment rystem in Orono be inspected every rivo yeazs.
The on-site sesvage�ea�nent system at the above address has been ins�ected aad appears to fall into the categories checked below.
SYSTEM CONFORMITY fl-3): 3 � � �
1 "CODE SYSTEM" Aa ISTS whieh meets ai(the locativq design md eotsstruction standatds of the curreat Otofio btuaicipal Code.
2 "C01�IPLIANT SYSiEM" Aa ISTS which doa not meet atl the lacatiaq daign and caastruction standards of the e�re�Qrono Muaicipal
Code but doas meet the three foot xpat�ation r�quuement,aad whieh is aot fa.�ing ar aa imminent threat to public health or sa;_ty.
� "NOI`1-CO�LIANT SYSTEM" A pmhibited IS?S;an ISTS lacated withia a daiguted 100-year flood Piaia,aay IS'TS whieh may
o�may aot auet all the lxatioq design,or construction standards of the�vaeat Orono btunieipal Cada aad which is fa�iag far any reasaq and
any ISTS with las than three feet of u:uaturated so�or saad becweea the distdbution device aad the limiting soil charactaisties,
TANK CONDITION(5-101: S, � � ' % �
Tank inspection indicates: .. • �
� Puinpout not neaded at this time.
6 Tsnk must ba pumped out this year (city code requua tsnks to be pumped out every 3 yeus Tank wu la�st pumped 1—y—�� �,
7 Solids aavmulation in tsnks is at a eritical a eriti�I laveL Taaks should be pumpsd out as soan as possibla.
8 Systam is dis�huging W the sucfaca Taaks must ba pumped out within 48 houts to elimiaate surface d�chsrge,
9 Inspection cisen missing-tanks could not be inspeeted. Inspe�oa risas(4"dia pipe)must be instal(ed in each tank at nest pumpout If t�nks
have nut been pumped out within the last tluea yp,cs,��y�ould be pumped aut now. �
10 lnspe��tiun pipr is located duectly over tuyti ba�le(dou not give accunte carasiuemeat of solids aecumulation). If canks have not bern pumped
out�vithict the Isst three yesn,they should be pucnptd out now.
DRAINFIELD CO�TDIT'IOv(11-141: \\
� 'Ihaintield is dry,no surfacing evidrnt �
12 Same e�tdrnce of sucfacing,not critical yet � � � , � ' . • .
I3 DrsinFietd is satunted and visbiy d'�schacging unirrsted e@luent to the sueface. Cantact the Ci «tar immediatet .R
eompleted«ithin 90 days. �'� y �Pa+rs must be
1� Drainfietd eaunt and eonditioa unknown.
C�l�/�1��$: S '(S��r+-� �a S �o�_ �o r� \:a�'T v v� �C ��C,�L 0� � �00-} SC tr�l�'; a '�
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Dace of IespecRon p' ystem Ins ector � . .
Se ac S p
Nate: Ia the eveat that this aup«tion repoR u used to sati�r ihe requiremaats for a mortgage or otha 4amfa of property,be advised tbat tfiis report does nat guanaca
o�eertiCy that aa e�sting system will eocrtiaue to function properlY,bitt is maeIy aa apinioa of the adequuy of the systrm nada euueat oond�tioas based on the avu"lsble
infotautiaa
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��� � I`, ` G �� Street Address: Mailing Address:
��9,�ES�p4�� 2750 Kelley Parkway P.O. Box 66
_._._.-..._-_. Orona, MN 55356 Crystal Bay, MN 55323-0066
To: The Current Owner of Address 3� �' ��'f� � �✓t� �-- /l�' �
City Ordinance requires that onsite sewage treatment systems in Orono be
inspected on a periodic basis. The onsite sewage treatment system at the above
address has been inspected and the following is known about the system. A
sketch of the known components of the system is available for most properties at
the Orono City Hall.
Imminent Public Health Threat
Yes �_
No
If yes, please contact the Onsite Systems Manager at 952-249-4626 within 10
days of receipt of this notice. The septic system must be brought into compliance
within 90 days. Failure to do so will result in referral to the City Attorney for
legal action.
System Identi �i as Non-Compliant
Yes
No '
If yes, system must be brought into compliance by:
December 31,2007
December 31,2010 �
Other '
Septic Tank(s mp out Needed
Yes
No �
The City recommends the septic tank(s) and/or lift tank be serviced and pumped
out every three years. City records indicate the tank(s) were last pumped out on
� —�-( -�Q . The tank(s) should be cleaned through the manhole and
not through the inspection pipes,this allows for proper cleaning,
Comments:
t..
Inspector. � Date of Inspection � ��� J
Telephone(9�2)249-4600 • Fax(952)249-4616
www.ci.orono.mn.us